DR. JOSEPH THOMAS POTERUCHA (NPI# 1154559060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154559060 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH THOMAS POTERUCHA |
| Credential | D.O. |
| Practice Address |
700 West Ave S La Crosse WI 54601-4783 |
| Mailing Address |
Po Box 1510 Eau Claire WI 54702-1510 |
| Practice Telephone | 6087850940 |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2020-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 125060767 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
66891 | WI | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
55977 | MN | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 55977 | MN | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 125060767 | IL | Allopathic & Osteopathic Physicians |
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
55977 | MN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 1st St Sw, Rochester, MN 559050001 | 5072842511 |
| Street Address |
700 WEST AVE S |
| City | LA CROSSE |
| State | WI |
| Zip Code | 54601-4783 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306848544 | Peter M Allen | Nurse Anesthetist, Certified Registered | 700 West Ave S, La Crosse, WI 54601-4783 | 2005-06-01 |
| 1386296028 | Samuel Joseph Weigel | Physical Therapist | 700 West Ave S, La Crosse, WI 54601-4783 | 2019-07-12 |
| 1861952939 | Nicole Mary Beine | Family Medicine | 700 West Ave S, La Crosse, WI 54601-4783 | 2019-03-23 |
| 1235608548 | Lindsay Ann Kochelek | Nurse Practitioner | 700 West Ave S, La Crosse, WI 54601-4783 | 2018-11-15 |
| 1508331604 | Rachel Kelsey Wontor | Dietitian, Registered | 700 West Ave S, La Crosse, WI 54601-4783 | 2018-10-04 |
| 1710498563 | Tori Erickson | Dietitian, Registered | 700 West Ave S, La Crosse, WI 54601-4783 | 2017-10-19 |
| 1144730458 | Bryn Hayes Daisy Borders | Nurse Anesthetist, Certified Registered | 700 West Ave S, La Crosse, WI 54601-4783 | 2017-10-02 |
| 1275052037 | Joshua Carl Laack | Nurse Anesthetist, Certified Registered | 700 West Ave S, La Crosse, WI 54601-4783 | 2017-09-13 |
| 1942741624 | Jamie Pronschinske | Dietitian, Registered | 700 West Ave S, La Crosse, WI 54601-4783 | 2017-03-15 |
| 1699222760 | Jacob Louis Clements | Nurse Anesthetist, Certified Registered | 700 West Ave S, La Crosse, WI 54601 | 2016-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324265 | Meagan Mcrae | Student in an Organized Health Care Education/Training Program | 1725 State St., 4051 Health Science Center, La Crosse, WI 54601 | 2020-04-07 |
| 1255969671 | Erin Dingman | Student in an Organized Health Care Education/Training Program | 1751 State Street, 4051 Health Science Center, La Crosse, WI 54601 | 2020-03-31 |
| 1619505047 | Nicole Kay Lynch | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State St, La Crosse, WI 54601 | 2020-03-31 |
| 1174151757 | Jenna Sells | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1740818301 | Katie Irene Tahtinen | Student in an Organized Health Care Education/Training Program | Uwl- 4051 Health Science Center, 1725 State St., La Crosse, WI 54601 | 2020-03-30 |
| 1932737517 | Margaret May Grimm | Student in an Organized Health Care Education/Training Program | Univesity of Wisconsin-la Crosse, 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1831727312 | Matthew Timothy Axler | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1093340473 | Denise Stinson | Technician | 1311 Badger St, Apt 505, La Crosse, WI 54601 | 2020-03-06 |
| 1922632397 | Ibrahim Ahsan | Pharmacist | 1105 Wi-16, La Crosse, WI 54601 | 2020-02-25 |
| 1750913356 | Liza R Collins | Massage Therapist | 1415 State Wi 16, La Crosse, WI 54601 | 2020-02-11 |
| Find all providers in zip 54601 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225291420 | Justin K Shurts | Internal Medicine | 1836 South Ave, La Crosse, WI 54601-5429 | 2008-07-08 |
| 1487837563 | Richard L Sellman Jr. | Internal Medicine | 1836 South Ave, La Crosse, WI 54601-5429 | 2007-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326381559 | Nestor Anguiano | Internal Medicine | Prohealth Care Medical Associates, 721 American Ave, Waukesha, WI 53188-5071 | 2013-04-06 |
| 1093948895 | Ricardo Sanga | Internal Medicine | 106 W Seeboth St Unit 1101, Milwaukee, WI 53204-4331 | 2009-08-26 |
| 1003075573 | Marvin Lyle Birnbaum | Internal Medicine | 3330 University Ave, Suite 300, Madison, WI 53705-2167 | 2008-06-09 |
| 1164608964 | Toks E Macarthy | Internal Medicine | 1701 West Lincoln Avenue, West Allis, WI 53227 | 2008-01-11 |
| 1821143108 | Santo De Jesus Diaz | Internal Medicine | 4925 S 43rd St, Greenfield, WI 53220-4809 | 2007-01-24 |
| 1366506016 | Fox Valley Pulmonary Medicine, S.c. | Internal Medicine | 2500 E Capitol Dr Suite 1700, Appleton, WI 54911 | 2006-12-20 |
| 1811001720 | Tasleem Raza | Internal Medicine | Clement J Zablocki Veterans Affairs Medical Ctr, 5000 W. National Avenue, Milwaukee, WI 53295-0001 | 2006-08-18 |
| 1063461606 | Mark S Lingenfelter | Internal Medicine | 306 W Main St Apt 909, Madison, WI 53703 | 2006-05-10 |
| 1740241793 | Raed A Hamed | Internal Medicine | 8500 W Capitol Dr, Suite 202b, Milwaukee, WI 53222-1869 | 2006-03-30 |
| 1114993151 | John G Mccartney | Internal Medicine | 801 Braxton Pl, Madison, WI 53715-1415 | 2006-02-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.